Stages of Change for Voluntary Medical Male Circumcision and Sexual Risk Behavior in Uncircumcised Zambian Men

The Spear and Shield Project

Colleen A. Redding, Deborah Jones, Robert Zulu, Ndashi Chitalu, Ryan Cook, Stephen M Weiss

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Dissemination and scale up of voluntary medical male circumcision (VMMC) programs is well supported by evidence that VMMC reduces HIV risk in populations with high HIV prevalence and low rates of circumcision, as is the case in Zambia. Purpose: At both individual and population levels, it is important to understand what stages of change for VMMC are associated with, especially across cultures. This study evaluated VMMC knowledge, misinformation, and stages of change for VMMC of uncircumcised men and boys (over 18 years), as well as the concurrent relationship between VMMC stages of change and sexual risk behaviors. Method: Uncircumcised (N = 800) adult men and boys (over 18) were screened and recruited from urban community health centers in Lusaka, Zambia, where they then completed baseline surveys assessing knowledge, attitudes, HIV risk behaviors, and stages of change for VMMC. A series of analyses explored cross-sectional relationships among these variables. Results: VMMC was culturally acceptable in half of the sample; younger, unmarried, and more educated men were more ready to undergo VMMC. Stage of change for VMMC was also related to knowledge, and those at greater HIV risk reported greater readiness to undergo VMMC. Conclusions: Efforts to increase VMMC uptake should address the role of perceived HIV risk, risk behaviors, readiness, accurate knowledge, cultural acceptance, and understanding of the significant degree of HIV protection conferred as part of the VMMC decision making process. These results support incorporating comprehensive HIV risk reduction in VMMC promotion programs.

Original languageEnglish (US)
Pages (from-to)799-806
Number of pages8
JournalInternational Journal of Behavioral Medicine
Volume22
Issue number6
DOIs
StatePublished - Dec 1 2015

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Male Circumcision
Risk-Taking
Sexual Behavior
HIV
Zambia
Urban Health
Community Health Centers
Risk Reduction Behavior
Population

Keywords

  • HIV
  • Knowledge
  • Readiness
  • Stages of change
  • Voluntary medical male circumcision
  • Zambia

ASJC Scopus subject areas

  • Applied Psychology

Cite this

Stages of Change for Voluntary Medical Male Circumcision and Sexual Risk Behavior in Uncircumcised Zambian Men : The Spear and Shield Project. / Redding, Colleen A.; Jones, Deborah; Zulu, Robert; Chitalu, Ndashi; Cook, Ryan; Weiss, Stephen M.

In: International Journal of Behavioral Medicine, Vol. 22, No. 6, 01.12.2015, p. 799-806.

Research output: Contribution to journalArticle

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